POS 22 in Medical Billing: Essential Guide to Avoid Costly Claim Errors
Place of Service codes may look like a small part of a medical claim, but selecting the wrong code can affect reimbursement, claim processing, and payer compliance. POS 22 in medical billing identifies professional services provided to a patient in an on-campus outpatient hospital setting. According to the Centers for Medicare & Medicaid Services, Place […]
59 Modifier: The Ultimate Guide to Preventing Costly Claim Denials
Few things frustrate a billing team more than watching two legitimate procedures come back as one payment. The remittance shows a CO-97 bundling denial, the second service zeroes out, and revenue the practice already earned quietly disappears. In a surprising number of those cases, the outcome hinges on a single two-character code: the 59 modifier. […]
MCG Clinical Guidelines Explained: Powerful Benefits, Critical Limits, and How They Shape Care
MCG clinical guidelines are evidence-based clinical decision support guidelines used by hospitals, health plans, utilization management teams, case managers, physician advisors, and other healthcare organizations to evaluate medical necessity, determine appropriate levels of care, support prior authorization decisions, guide care planning, and improve clinical documentation. The guidelines are developed by MCG Health, formerly known as […]
Avoid Costly CMS 1728-20 Form Errors: The Ultimate HHA Filing Guide
Quick answer: The CMS 1728-20 form is the Medicare Home Health Agency Cost Report used by freestanding home health agencies to report annual financial, statistical, utilization, and reimbursement data. It is not a patient claim form and should not be confused with the CMS-1500 professional claim form. Most agencies prepare the cost report with CMS-approved […]
Avoid Costly Mistakes: The Ultimate Guide to Billing Companies Near Me
Searching for billing companies near me usually means your practice has reached an important decision point. Claims may be taking too long to pay, denials may be increasing, staff may be overwhelmed, or your current billing process may not provide enough visibility into your revenue. The best medical billing company is not necessarily the one […]
Optometry RCM: Proven Strategies to Stop Revenue Leakage and Get Paid Faster
Optometry revenue cycle management, often shortened to optometry RCM, is the end-to-end process of turning patient appointments and eye care services into accurate, compliant, and timely revenue. It begins before the patient enters the exam room and continues through eligibility verification, authorization, documentation, coding, claim submission, payment posting, denial resolution, patient billing, and accounts receivable […]
Summit Billing Solutions Named a 2026 BBB Torch Award Finalist
We are proud and honored to share that Summit Billing Solutions has been recognized as a 2026 BBB Torch Award Finalist. This recognition is especially meaningful because it reflects values that are at the heart of everything we do: integrity, trust, transparency, and a commitment to serving our clients with excellence. As a medical billing […]
Stop Costly Revenue Leaks: Proven Medical Billing Pricing Structure Guide for Smarter Practices
Choosing the right medical billing pricing structure is not just a cost decision. It is a revenue decision. For many medical practices, billing feels like a necessary expense that sits somewhere between staffing, software, clearinghouse fees, claim follow-up, and patient collections. Because of that, it is tempting to ask one question first: “What is the […]
Medical Billing vs Revenue Cycle Management: Avoid the Costly Mistake That Drains Practice Revenue
Quick Answer: Medical Billing vs Revenue Cycle Management Medical billing and revenue cycle management are closely connected, but they are not the same thing. Medical billing focuses on the claim process. It includes preparing claims, submitting them to insurance companies, posting payments, correcting errors, managing denials, and following up on unpaid balances. Revenue cycle management, […]
Stop Overpaying: Affordable Medical Billing Services That Protect Practice Revenue
Quick Answer: What Are Affordable Medical Billing Services? Affordable medical billing services help healthcare providers submit claims, reduce denials, follow up on unpaid balances, and collect revenue without carrying the full cost of an in-house billing team. For small clinics, independent doctors, dental offices, and growing practices, the best option is not always the cheapest […]